Referrals, Kickbacks, Patient Inducements, and Accurate Public Information
Prohibits offering, paying, asking for or accepting anything of value for patient referrals, bars gifts and waived copayments meant to attract patients, requires the governing body to review any financial relationship with a referral source, and requires the Agency’s public information about its services and limits to be accurate and reviewed at least annually.
About this policy
- Policy number
- NC-HH-ETH-02
- Version
- 1.0
- Main rule
- 42 U.S.C. §1320a-7b(b)
- Library
- North Carolina home health · 57 policies
- Category
- Ethics
- Sections
- 16
In short
- Never offer or accept money, gifts or favors for patient referrals.
- Do not give patients gifts to choose our Agency, and do not waive copays unless the agency director approves it for hardship.
- Patients choose their own agency. Never pressure anyone.
- Describe only services we really provide, in the counties we serve.
- If anyone offers you something for a referral, tell the compliance officer.
What's inside
16 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 U.S.C. §1320a-7b(b); 10A NCAC 13J .0906(a))
- 5. What Staff May and May Not Do
- 6. Arrangements With Physicians and Other Referral Sources
- 7. Patient Choice and Inducements
- 8. Accurate Public Information
- 9. Responsibilities
- 10. Records and Compliance Monitoring
- 11. Staff Training
- 12. References
- 13. Related Policies and Forms
- 14. Approval
- 15. Revision History
An inspector may ask
- Do you pay anyone, or give anything of value, in connection with referrals?
- What financial relationships do you have with physicians who refer or certify patients?
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